NPI 1366596033

Mountain Dental PC

Organisation Dental Clinic/Center Lander, WY

Practice location

Address: 345 Garfield St, Lander, WY 82520-3123
Phone: (307) 332-5230
Fax: (307) 332-5297

Authorised official

Name: Todd Robert Sutton
Title: Dentist
Phone: (307) 332-5230

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 975 (WY)

Other Clinic/Center providers in Wyoming →

Registry record

NPI: 1366596033
Entity type: Organization
NPI issued: 22 Jan 2007
Record last updated: 25 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.